26D2157729 CLIA NUMBER - CAPE MEDICAL WEIGHT LOSS AND FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 26D2157729
  • Facility Name: CAPE MEDICAL WEIGHT LOSS AND FAMILY PRACTICE
  • Facility Address: 2441 MYRA DRIVE
    CAPE GIRARDEAU, MO
    ZIP 63703
  • Facility Phone: 573 803-0919
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK KASTEN
  • NPI Number: 1508350638
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 26D2157729
LAB Type Physician Office
Facility Name CAPE MEDICAL WEIGHT LOSS AND FAMILY PRACTICE
Street 2441 MYRA DRIVE
City CAPE GIRARDEAU
State MO
ZIP 63703
Phone 573 803-0919
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Physician Office
Lab Director MARK KASTEN

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This page was last updated on: 9/29/2025